Provider Demographics
NPI:1669489258
Name:ARSHAD, ABDUL G (MD)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:G
Last Name:ARSHAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1443
Mailing Address - Country:US
Mailing Address - Phone:517-264-5111
Mailing Address - Fax:517-264-5139
Practice Address - Street 1:750 HIGH ST
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1443
Practice Address - Country:US
Practice Address - Phone:517-264-5111
Practice Address - Fax:517-264-5139
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301057336208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
100069OtherGLHP
5875OtherHPM
P00349654OtherRRMC
4516080OtherAETNA
03806OtherPARAMOUNT
204600541OtherBCBS MI
000000494797OtherANTHEM
121607OtherPRIORITY HEALTH
MI4957430Medicaid
MI4957430Medicaid
MIM35150049Medicare PIN